PROGRESSIVE DENTAL – NPI #1124529334
Clinic/Center

PROGRESSIVE DENTAL is an AHC clinic located in SHAKOPEE, MN. NPPES has assigned the NPI number 1124529334 to PROGRESSIVE DENTAL on February 22, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROGRESSIVE DENTAL” is a dba name, the actual legal business name for this organization is A.M DENTAL PROFESSIONALS P.A. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROGRESSIVE DENTAL below.

NPI Profile for
A.M DENTAL PROFESSIONALS P.A

NPI Number
1124529334
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A.M DENTAL PROFESSIONALS P.A
Doing Business As (dba): PROGRESSIVE DENTAL
Primary location
1036 1ST AVE E
SHAKOPEE, MN 55379
Phone: (952) 445-6622 Fax: (952) 314-9610
1 Other location(s):
1960 Cliff Lake RD
127
Eagan, MN 55122
Phone: (651) 681-1676
Fax: (952) 314-9610
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AYESHA DOWNS
OWNER
Phone: (952) 445-6220
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MN D12357

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.